Healthcare Provider Details

I. General information

NPI: 1568409191
Provider Name (Legal Business Name): MARTHA ARAMBEL JUDICE ENP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 N MILES AVE
HARDIN MT
59034-2323
US

IV. Provider business mailing address

3415 GLENFINNAN RD
BILLINGS MT
59101-9455
US

V. Phone/Fax

Practice location:
  • Phone: 406-665-2310
  • Fax:
Mailing address:
  • Phone: 406-899-4166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNUR-APRN-LIC-100443
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: